Your insurance policy Policy on the life of RBC Life Insurance Company agrees to pay benefits in accordance with the terms and conditions of this policy for losses occurring while this policy is in force. Rino D'Onofrio President and Chief Executive Officer Laura A. Gainey Senior Vice-President, Service and Operations Dated at the company's office in Mississauga, Ontario on You have a right to examine this policy for 10 days As the policy owner, you are allowed 10 days from the date you receive this policy to examine its provisions and to return it to an office of RBC Life Insurance Company if you do not find it satisfactory. If you return it to us within this ten day period, the policy will be deemed never to have been issued from the policy date and any premium paid will be refunded to you. This policy contains a provision removing or restricting the right of the insured to designate persons to whom or for whose benefit insurance money is to be payable. Please see the "Provincial amendments" section of your policy contract to determine when this statement applies. We want to help you make the most of your insurance plan If you have any questions about your insurance coverage or you require our assistance, you can: Call us toll free at 1-800-461-1413 Write to us at RBC Life Insurance Company P.O. Box 515, Station A, Mississauga, ON L5A 4M3 RBCULBONUSENG 05.2013
Table of Contents Policy Schedule 2 A Terms used in this policy 8 B Information about this Policy 12 B 1 This Policy is a contract between you and RBC Life Insurance Company 12 B 2 Your rights and privileges as the Policy Owner 12 B 3 Naming a Beneficiary 13 B 4 Substituting a Life Insured 13 B 5 Assigning or transferring ownership of this Policy 14 B 6 Cancelling this Policy or any Rider attached to it 14 B 7 Keeping you informed 14 B 8 Keeping us informed 14 B 9 When we will contest the validity of this Policy 14 B 10 Currency 14 C Your Life Insurance Coverage 15 C 1 When your insurance begins 15 C 2 When your insurance ends 15 C 3 Your Coverage Amount 15 C 4 Your Death Benefit Options 16 C 5 When we will pay the Death Benefit 17 C 6 How we allocate the Death Benefit in cases of simultaneous death 17 C 7 When we will adjust the Death Benefit 18 C 8 When we will not pay a Death Benefit 18 D Benefits and Privileges for Joint Coverage Options 19 D 1 The Survivor Privilege under a Joint First-to-die Coverage Option 19 D 2 The Supplementary Death Benefit for a surviving Life Insured 20 D 3 The Early Death Benefit under a Joint Last-to-die Coverage Option 20 D 4 Changing your Joint Coverage Option 21 D 5 Exchanging your Joint Coverage Policy for Single Life Policies 21 E Your Disability Benefit 23 E 1 Claiming a Disability Benefit 23 E 2 When we consider a Life Insured disabled 23 E 3 When we will pay a Disability Benefit 24 E 4 When we will not pay a Disability Benefit 25 F Your Premiums and Cost of Insurance 26 F 1 Our Cost of Insurance guarantee 26 F 2 How we calculate your Cost of Insurance 26 F 3 How we calculate your Monthly Deduction 26 F 4 How we process your Monthly Deduction 27 F 5 When Monthly Deductions end 27 F 6 Changing your Cost of Insurance Option 27 F 7 Changing the Class applicable to the Life Insured 28 F 8 When your Planned Premiums must be paid 28 F 9 The amount of your Premium payments 29 F 10 The Minimum Premium requirement 29 F 11 The grace period for paying your Premiums 29 F 12 Reinstating your Policy after it has ended due to non-payment of Premium 30 G Your Interest Options 31 G 1 How we process your Premium payments 31 G 2 How we process transactions affecting the balance of your Interest Options 31 G 3 The Interest Options available with this Policy 32 G 4 The Daily Interest Option 32 G 5 The Guaranteed Interest Options 32 G 6 When money is withdrawn from a Guaranteed Interest Option 34 G 7 Your Variable Interest Options 35 G 8 Changing your Interest Option allocation 36 G 9 Bonus Interest 36 RBCULBONUSENG 05.2013 Page 6
H Your Policy s Accumulation Value 37 H 1 How we calculate the Accumulation Value 37 H 2 Withdrawing money from the Accumulation Value 37 H 3 The order of withdrawal 37 H 4 Reducing the Accumulation Value under the Level Protection option 38 H 5 Borrowing money from the Accumulation Value 38 H 6 Charges we may apply to the Accumulation Value 40 I Maintaining the tax exempt status of your Policy 41 I 1 How we maintain the tax exempt status of your Policy 41 I 2 Your Tax Exemption Maintenance Options 41 I 3 Changing your Tax Exemption Maintenance Option 42 I 4 Income tax reporting 42 Appendix A The Side Account 43 AA 1 Your Side Account is separate from your Policy 43 AA 2 When we allocate money to the Side Account 43 AA 3 When we allocate money from the Side Account to your Policy 43 AA 4 Withdrawing money from your Side Account 43 AA 5 Termination of your Side Account 43 Provincial amendments 44 RBCULBONUSENG 05.2013 Page 7
A Terms used in this Policy We, us, our and the Company mean RBC Life Insurance Company. You and your means the Policy Owner named in the Policy Schedule. Accumulation Value means the sum of the value of your individual Interest Options and Collateral Interest Account at any given time, subject to the terms of provision H Administrative rules means the rules and procedures we establish to facilitate the administration of this Policy. We may amend our administrative rules from time to time. Any changes we make to our administrative rules will not alter any guarantee or benefit provided by this Policy. Appropriate physician s care means the most appropriate treatment by a physician, according to existing standards of medical practice, for the injury or sickness which is the cause of the Life Insured s disability. Attained Age means a Life Insured s Insurance Age plus the number of years from the Policy Date to the nearest Policy Anniversary. Beneficiary means the person, persons or legal entity entitled to receive a Death Benefit, subject to the terms and provisions of this Policy. Business Day means any day on which our head office is open for business. Class means a grouping of individuals satisfying underwriting criteria related to specified aspects of health, lifestyle, tobacco usage, family history and other personal history. Based on these criteria, a Life Insured can be classified as either a Smoker or a Non-smoker, and in an Optimum, Preferred or Standard Class. If the Life Insured is less than 18 years of age, the applicable Class is Juvenile. We determine the Class applicable to each Life Insured and use it to establish his or her Cost of Insurance rates. It is specified in the Policy Schedule. Collateral Interest Account means an interest account under this policy, to which we allocate as collateral any amount you borrow from your Accumulation Value as described in provision H 5. Cost of Insurance means the amount you pay for the Insurance Amount. It is included in the Monthly Deduction and includes any applicable Extra Premium as specified in the Policy Schedule. The calculation of your Cost of Insurance is described in provision F Cost of Insurance Option means the Cost of Insurance rate structure you have chosen for this Policy. It is specified in the Policy Schedule. Cost of Insurance rate means the rate we multiply by every thousand dollars of your Insurance Amount to determine your Monthly Deduction. It is based on your Coverage Amount, and the Insurance Age, sex and Class in effect for your Coverage. It is shown in the Policy Schedule, and is guaranteed unless you request changes to your Coverage, as described in provision F Coverage means insurance on the life of a single person or jointly on the lives of several persons, under this Policy or under the terms of a Rider included with this Policy. Additional Coverage means any requested increase to the Coverage Amount of this Policy that is approved after the Policy is issued, as described in provision C Coverage Amount means the portion of your Death Benefit that is guaranteed, subject to the terms and conditions of this Policy. Your initial Coverage Amount is the initial amount of life insurance Coverage applied for and approved by us. It may change in accordance with the terms of provisions C Coverage Anniversary means the same day and month as the Coverage Date in each subsequent calendar year. Coverage Date means the first date Coverage is in force, as described in provision C Coverage Option means the option you elected for the payment of the Death Benefit. It is specified in the Policy Schedule. The Coverage Options that may be available under this Policy or any term Rider are Single Life, Joint First-to-die, and Joint Last-to-die. Day Received means the Business Day we receive your Premium payment or written request for any transaction affecting the balance of an Interest Option, at our head office, before a closing time we specify in our administrative rules. If we receive your Premium payment or written request after that time, it will be processed on a best effort basis and may be deemed to have been received on the following Business Day. At the time this Policy is issued, the specified closing time for Premiums and transactions is 12 PM Eastern Time. We reserve the right to waive or extend the specified closing time at our discretion when circumstances warrant. RBCULBONUSENG 05.2013 Page 8
A Terms used in this Policy Death Benefit means the benefit that is payable when the Designated Life Insured dies, in accordance with your chosen Coverage Option and Death Benefit Option, and subject to the terms and provisions of this Policy. Your Coverage Option and Death Benefit Option are specified in the Policy Schedule. A Supplementary Death Benefit or Early Death Benefit may be payable on the life of someone other than the Designated Life Insured, under the terms of provisions D 2 or D 3 respectively. An additional Death Benefit may also be payable on the life of a specified person under the terms of any Rider attached to this Policy. We will reduce any settlement under this Policy by the amount of any indebtedness, and by the amount of any unpaid Premium if this Policy is in default as described in provision F 10. Designated Life Insured means the Life Insured on whose death the Death Benefit is payable. Your Coverage Option is specified in the Policy Schedule. If your chosen Coverage Option is Single life Joint First-to-die Joint Last-to-die The Designated Life Insured is The Life Insured The first Life Insured to die The last Life Insured to die Evidence of insurability means the information we use to determine if a person is eligible for insurance. It may include medical examinations, doctors reports, blood and fluid tests, or any other evidence of the person s health, lifestyle, or financial circumstances. Extra Premium means an additional Premium that is payable when a Life Insured is approved for Coverage under a particular Risk Classification. It is specified in the Policy Schedule. Gainful occupation means any work for wage or profit that is generating, or could reasonably be generating, earnings equal to 60% or more of the Life Insured s pre-disability income. Indebtedness means any unpaid Policy Loans and unpaid loan interest. We will reduce any settlement under this Policy, such as a Death Benefit or Surrender Value when it is payable, by the amount of any indebtedness. We will not reduce the benefit payable under the terms of any Rider. In force means insurance under this Policy is in effect. This Policy must be in force for any benefits or privileges to be provided. This Policy will stay in force until the earliest of the dates listed in provision C Injury means bodily harm, loss or damage sustained as a direct result of an accident while this Policy is in force. Insurance Age means the age of a Life Insured at his or her birthday nearest the Policy Date. If this Policy jointly insures two or more people, the Joint Insurance Age will be used in lieu of the Insurance Age. It is specified in the Policy Schedule. Insurance Amount means the portion of your Death Benefit by which we determine the Monthly Deduction for Cost of Insurance. It is otherwise known as the net amount at risk. It will vary depending on which Death Benefit Option you selected, as described in provision F Interest Option means an account under this Policy to which you allocate all or a portion of your Premiums for the purpose of earning interest. Any net Premium amount you allocate to an Interest Option will be invested in the general funds of the Company, and we will credit interest to your Interest Options as specified in Section G of this Policy. Joint Insurance Age means the one age that results from combining the Insurance Age, Class and Risk Classification of each of the Lives Insured under a Joint First-to-die or Joint Last-to-die Coverage Option, as determined by us. It is specified in the Policy Schedule. Level Target Premium means an amount determined by us based on the Cost of Insurance rates applicable to this policy, including any applicable Extra Premium. It is included in the Minimum Premium to cover the cost of the life insurance provided under this Policy, as described in provision F 10. Life Insured means a person whose life is insured under this Policy, or under a Rider attached to this Policy. Every Life Insured is named in the Policy Schedule. RBCULBONUSENG 05.2013 Page 9
A Terms used in this Policy Manifests means that a sign or symptom of an injury or sickness is first apparent to, or observed by, someone, whether or not that appearance or observation results in any awareness of an illness or condition, or in any medical consultation, investigation, diagnosis or treatment at that time. Market Value Adjustment means a charge we will apply to any amount that is transferred or withdrawn from any Guaranteed Interest Option, as described in provision G 6. Maximum Insurance Amount means the Insurance Amount beyond which Automatic Coverage Amount Increases will no longer be available under the terms of provision I It is specified in the Policy Schedule. Minimum Premium means the amount you pay to us to keep this Policy in force, as described in provision F 10. It is specified in the Policy Schedule. Monthly Deduction means the amount we deduct from your Policy s Accumulation Value each month in consideration for the insurance provided under this Policy, as described in provision F Monthly Processing Day means the day in each calendar month when Monthly Deductions are made. The first Monthly Processing Day is on the Policy Date. Subsequent Monthly Processing Days are on the same day of the month as the Policy Date, or on a Business Day nearest to that day. Once set, the Monthly Processing Day cannot be changed. Net Accumulation Value means the Accumulation Value reduced by any indebtedness. Net Premium means any Premium reduced by the applicable Premium Load. Net Surrender Value means an amount that is payable to you if you cancel your Coverage, subject to the terms and provisions of this Policy. It is equal to the Surrender Value reduced by any indebtedness. Owner means the person, persons or legal entity entitled to exercise all the rights and privileges under this Policy while it is in force, as described in provision B Physician means an individual who is legally licensed to practice medicine or surgery in Canada or the United States, or other jurisdiction as we may approve and who is acting within the scope of his or her license. Physician is not you, the Life Insured or a relative or business associate of you or the Life Insured. Planned Premium means the amount of monthly or annual Premiums you choose to schedule for deposit to your Policy, as described in provision F 9. Policy means the written contract between you and us that describes the insurance Coverage on the Life Insured. Unless otherwise stated in writing, this Policy includes insurance Coverage under any Rider, amendment or endorsement that we attach to this document. Policy Anniversary means the same day and month as the Policy Date in each subsequent calendar year. Policy Date means the beginning of the first Policy Year. It is the date from which Policy Years, Policy anniversaries, Monthly Processing Days, and Planned Premium due dates are determined. It is specified in the Policy Schedule. Policy Fee means a fee we charge to administer your Policy. It is part of the Monthly Deduction. The Policy Fee is specified in the Policy Schedule and is guaranteed not to increase. Policy Year means a year that begins on the later of the Policy Date or a Policy Anniversary. Premium means any payment you credit to this Policy. Premiums may also include any transfers from the Side Account to your Policy. Amounts paid to us as repayments of Policy Loans or payments of interest on Policy Loans are not Premiums. Premium frequency means the schedule you elect to make your Planned Premiums. You may choose to pay your Premiums annually or monthly. You may also choose to change your Planned Premium frequency at any time, as described in provision F 8. Premium Load means a percentage of any Premium payment, equal to the current provincial premium tax rate. It is specified in the Policy Schedule, and will not change unless your provincial government mandates a change to its premium tax rates or you move to a jurisdiction that mandates a different premium tax. Premium paying period means the number of years you intend to pay premiums, as disclosed to us at the time of your application for this policy. You may change your Premium paying period at any time, subject to our administrative rules and the terms of this policy. RBCULBONUSENG 05.2013 Page 10
A Terms used in this Policy Regular occupation means the occupation or occupations in which the Life Insured was regularly engaged when he or she became disabled. Rider means an optional Coverage that provides an additional life insurance benefit or some other insurance benefit, as specified in the Rider s provisions. Any Riders included with this Policy are specified in the Policy Schedule. Risk Classification means a broad category of criteria we establish in order to determine the insurability of applicants and whether or not an offer of insurance coverage can be made and under what terms coverage is available. Such terms may include any combination of the following: the payment of an Extra Premium, a reduction in the amount of insurance applied for, a restriction in the type of benefits applied for, or a denial of particular benefits pertaining to specific risks. Sickness means any illness or disease that first manifests itself while this Policy is in force, or before this Policy is in force but only if we have been fully and accurately advised on the application or otherwise in writing, before this Policy becomes in force, of all information known or reasonably available to you regarding the Life Insured s sickness, including his or her symptoms. Surrender Value means this Policy s Accumulation Value reduced by any applicable Surrender Charges as described in provision H 6. Valuation Day means any Business Day that meets the requirements of the Variable Interest Option to which it is applicable, as described in provision G 7. Written request or written notice means a request or notice signed by you and received by us, in a form that is satisfactory to us. A written request is not effective until we have recorded it at our office. Any Policy change you request is subject to any payments made or other action taken by us before your request was recorded at our office. Additional definitions are provided in the provisions of this Policy and attached Riders. RBCULBONUSENG 05.2013 Page 11
B Information about this Policy B 1 B 2 This Policy is a contract between you and RBC Life Insurance Company This is a life insurance Policy within the meaning of the relevant provincial legislation in Canada, and forms the entire contract between you and us. It includes: d) Your rights and privileges as the Policy Owner As the Owner of this Policy, you may exercise all the rights and privileges the Policy provides while it is in force. These rights include: d) e) f) g) h) i) j) k) l) This Policy; Your completed application for insurance; Any application we approve for reinstatement or to exercise an option under this Policy; and Any exclusion or other documents we attach to this Policy. Any statement that is not part of this Policy does not bind us, and no agent or person other than an officer of RBC Life Insurance Company can modify this Policy. Any such modification must be clearly expressed in writing and signed by two of our officers. If for any reason we fail to enforce a Policy provision at the relevant date, we reserve the right to enforce that provision at a later date. This Policy is non-participating. It does not share in the distribution of our surplus or profits, nor does it pay any dividends. Naming and changing the Beneficiary, as described in provision B 3; Changing a Life Insured under this Policy, as described in provision B 4; Assigning this Policy as security for a loan or transferring ownership of this Policy, as described in provision B 5; Cancelling this Policy or any Rider attached to it, as described in provision B 6; Changing the Coverage Amount or the Death Benefit Option, as described in provisions C 3 and C 4; Exercising the benefits and privileges for Joint Coverage options described in Section D; Claiming a Disability Benefit, as described in provision E 1; Changing your Cost of Insurance Option, as described in provision F 6; Changing the amount or frequency of Premium payments, as described in provisions F 8 and F 9; Allocating money to and from this Policy s Interest Options, as described in Section G; Withdrawing or borrowing money from this Policy, as described in provisions H 2 and H 5; and Choosing this Policy s Tax Exemption Maintenance Options, as described in provision I If there is more than one Policy Owner, all Owners must exercise their rights and privileges unanimously. Your rights and privileges may be limited by the terms and provisions of this Policy, by any applicable laws, or by the rights of any assignee or irrevocable Beneficiary. If you are not a Life Insured and you die before any Life Insured, your estate will become the Owner unless you have made a written request naming a contingent Owner. You may name a contingent Owner at any time while this policy is in force by filing a written request with us. RBCULBONUSENG 05.2013 Page 12
B Information about this Policy B 3 B 4 Naming a Beneficiary We will pay the Death Benefit and any other amounts due to be paid to any Beneficiary named in the Policy Schedule, unless you have named a new Beneficiary. In that event, we will pay the amounts due to the Beneficiary named in your last Change of Beneficiary request. You may name a new Beneficiary for this Policy or any Rider attached to it by filing a written Change of Beneficiary request with us at any time before the Designated Life Insured dies. The written consent of any irrevocable Beneficiary will be required. Once it is recorded at our office, the change will be effective as of the date you signed the request. A Change of Beneficiary request is not effective until we have recorded it at our office. If no Beneficiary is living when a Designated Life Insured dies, and the Beneficiary designation then in effect does not state otherwise, any Death Benefit that becomes payable will be paid to you or your estate. We will apply similar terms and conditions to any Beneficiary designation made under the terms of provision D 3 or under the terms of any Rider attached to this Policy. Substituting a Life Insured Upon written request, you may elect to substitute a different person for any Life Insured under this Policy, subject to tax legislation in effect at the time of the substitution and the following conditions: 4. 5. 6. The substitution must take place prior to the Policy Anniversary nearest the substitute Life Insured s eighty-fifth (85 th ) birthday. We must receive evidence satisfactory to us of both the insurability of the proposed substitute Life Insured and your interest in that person's life. We reserve the right to request payment of a fee we set from time to time for underwriting expenses. We will advise you of the amount of this fee before we process your request. Subject to our administrative rules, the substitution will take effect on the Monthly Processing Day on or following the date we have approved your request. We will simultaneously terminate any life insurance or Rider Coverage under this Policy on the life of the Life Insured for whom you are electing a substitute. We will adjust your Monthly Deduction effective on the Monthly Processing Day on or following the date we have approved your written request. We will determine the Cost of Insurance rates applicable to this Policy based on: The Coverage Amount in effect at the time of the substitution; Every Life Insured's Attained Age at the time the substitution is exercised; if this Policy has a joint life Coverage Option, we will recalculate the Cost of Insurance based on the Attained Ages of both the substitute Life Insured and each remaining Life Insured; i) ii) iii) Each Life Insured s applicable Class and Risk Classification used in calculating the Cost of Insurance for this Policy; and the Cost of Insurance rates in effect at the later of: The Coverage Date; The date of your last reinstatement; and The date your Cost of Insurance Option was last changed. We will reset the Minimum Premium, Monthly Deduction and applicable Surrender Charges in accordance with the new Cost of Insurance. If the Accumulation Value of the Policy then exceeds the maximum tax-exempt Accumulation Value, we will transfer the excess value to the Side Account. Such a transfer may be subject to taxation. The period within which we may contest the validity of this Policy, and the exclusion from Coverage for suicide, will both apply to the substitute Life Insured from the date of substitution, as described in provisions B 9 and C 8. RBCULBONUSENG 05.2013 Page 13
B B 5 Information about this Policy Assigning or transferring ownership of this Policy You may assign this Policy as security for a loan. This is known as a collateral assignment. You may also transfer ownership of this Policy to another person or entity, subject to our approval, and to legislation in effect at that time. This is known as an absolute assignment. We are not bound by an assignment until we receive written notice of it at our office and we approve it, nor are we responsible for its effect or validity. You may name a new Owner at any time while this policy is in force by filing a written request with us. Once it is approved and recorded at our office, the change will be effective whether or not you or the Life Insured are alive when we record the change. If you have named an irrevocable Beneficiary, you will need his or her written consent to assign this Policy except where otherwise prescribed by law. Under current income tax provisions, transferring ownership of your Policy constitutes a taxable disposition, as described in provision I 4. B 6 B 7 B 8 B 9 Cancelling this Policy or any Rider attached to it You may cancel this Policy for its Surrender Value, or cancel any Rider attached to this Policy, at any time by written request. The effective date of your cancellation of this Policy will be the date we process your request and calculate the Surrender Value in accordance with the terms of provision G When it is payable, we will reduce the Net Surrender Value by any applicable Market Value Adjustment. If you cancel any Rider attached to this Policy, we will reduce your Minimum Premium accordingly as of the effective date of your cancellation. The effective date of your cancellation will be the Monthly Processing Day following the date we receive your written request. A Surrender Charge will not apply. Keeping you informed We will make available to you a Policy Statement following each Policy Anniversary. Subject to our administrative rules, Policy Statements may be issued more frequently than annually upon request. Keeping us informed You must advise us of any change in your primary residence or mailing address so that we may continue to administer your Policy in compliance with the requirements of your province of residence, and so that we may communicate with you. If your Coverage Option is Joint Last-to-die, you must advise us when the first Life Insured under this Policy dies. When we will contest the validity of this Policy We have the right to contest the validity of this Policy, or the payment of the Death Benefit or any other Policy benefits, if you or any Life Insured under this Policy have incorrectly stated, misrepresented or failed to disclose a material fact in the application for insurance, or on any medical examination, or in any written or electronic statements or answers provided as evidence of insurability. Except in the case of fraud, we will not contest this Policy for misrepresentation after it has been in force for two (2) years during the lifetime of every Life Insured, from the later of the Coverage Date or the last date of reinstatement. If any Life Insured under this Policy dies during this two (2) year period, we can contest at any time. When there is an indication of fraud, we can declare this Policy void at any time. Fraud includes but is not limited to a material misrepresentation of the smoking habit of any Life Insured. If the Policy is declared void for fraud, we will not refund any Premium Load, Policy Fee or Cost of Insurance paid. B 10 Currency All amounts payable under this Policy, either to us or by us, are payable in Canadian dollars. RBCULBONUSENG 05.2013 Page 14
C Your Life Insurance Coverage C 1 C 2 C 3 When your insurance begins Subject to any change in the insurability of any Life Insured, your insurance under this Policy begins on the Coverage Date. For Coverage included with this Policy when it is issued, the Coverage Date is the latest of: d) When your insurance ends Your insurance under this Policy ends on the earliest of the following dates: d) The date the Designated Life Insured dies; The effective date of your cancellation, as described in provision B 6; The end of the grace period, if your Premium is still unpaid, as described in provision F 11; and The date we terminate this Policy under the terms of provisions B 9 or D 5. When insurance under this Policy ends, Coverage under any Rider attached to this Policy will also terminate unless otherwise provided for within the terms and conditions of the Rider. Your Coverage Amount Your initial Coverage Amount is specified in the Policy Schedule. Unless you instruct us otherwise in your insurance application or by written request, we may automatically increase the Coverage Amount of this Policy by an amount we determine to maintain the tax exempt status of your Policy, subject to the terms of provision I We may reduce your Coverage Amount as a consequence of any requested withdrawal or Policy option that reduces your Policy s Accumulation Value under a Level Protection Death Benefit Option, as described in provision H 4. C 1 The Policy Date; The date you receive this contract; or, if you reside in Quebec, the date we approve your application without modification; The date we receive at our office all amendments, addendums and exclusions required for the Policy to take effect, signed by you; and The date your initial Premium is received at our office, subject to the terms and conditions of provision F 9. If your first Premium is not honoured, this Policy will not take effect. For each additional Coverage or Rider added to the Policy after the Policy Date, the Coverage Date is the Monthly Processing Day on which the Coverage became effective subject to the terms and conditions of this Policy. Increasing your Coverage Amount You may apply for an increase to your Coverage Amount at any time, subject to our administrative rules and the following conditions. These conditions do not apply to any Coverage Amount increase as a result of tax exemption maintenance, as described in provision I 2: The minimum increase allowed is $50,000, and you must submit evidence of insurability, satisfactory to us, for each increase. The Coverage Amount increase will be effective on the Monthly Processing Day on or following the date we have approved your application, and we will adjust your Minimum Premium and your Monthly Deduction effective on that day. RBCULBONUSENG 05.2013 Page 15
C Your Life Insurance Coverage Each increase will consist of an additional Coverage with its own Coverage Date. We will determine new Cost of Insurance rates applicable to the additional Coverage based on: d) The amount of the additional Coverage; The Cost of Insurance rates we then offer for your chosen Cost of Insurance Option; The Attained Age of the Life or Lives Insured at the time of the change; and The applicable Class and Risk Classification used in calculating the Premiums for this additional Coverage, based on our determination of the insurability of each applicant at the time you applied for the increase. 4. The Surrender Charge Factors described in provision H 6 will apply to the additional Coverage as of its Coverage Date. Surrender Charges applicable to any existing Coverage Amount will remain unchanged. C 4 5. C 2 4. 5. 6. The period within which we may contest the validity of this Policy and the exclusion from Coverage for suicide, as described in provisions B 9 and C 8 respectively, will apply to the additional Coverage from its Coverage Date. Reducing your Coverage Amount You may request that we reduce your Coverage Amount at any time, subject to our administrative rules and the following conditions. These conditions do not apply to any Coverage Amount decrease as a result of tax exemption maintenance, as described in provision I 2: The reduced Coverage Amount will be effective on the Monthly Processing Day following the date we have received your written request. We will adjust your Minimum Premium and your Monthly Deduction effective on that day. If applicable, we may also reduce the Maximum Insurance Amount specified in the Policy Schedule. The minimum decrease allowed is $10,000, and the remaining Coverage Amount must not be less than the minimum specified in our administrative rules. Your Cost of Insurance rate is guaranteed based in part on the initial Coverage Amount and the Class applicable to each Life Insured. If you reduce your Coverage Amount, we may increase your Cost of Insurance rate. If you reduce your Coverage Amount to less than $250,000, the Class applicable to your Cost of Insurance rate will be the Standard Class applicable to the Life or Lives Insured. We will reduce your Policy s Accumulation Value by the amount of a partial Surrender Charge, as described in provision H 6. After the Surrender Charge is collected, the Surrender Charges applicable to the new Coverage Amount will be reduced. If we have previously processed Automatic Coverage Amount Increases for this policy, or any additional Coverage as described in provision C 1, we will reduce your Coverage Amount sequentially as prescribed in our administrative rules. All decreases will be monitored to ensure that the tax-exempt status of the Policy is maintained, as described in provision I We may also withdraw money from your Collateral Interest Account and apply that amount as a loan repayment without prior notice, as described in provision H 5. Your Death Benefit Options The primary Death Benefit Options available under this Policy are Increasing Protection and Level Protection. The Level Protection option is not available in combination with the Level to 100 Cost of Insurance Option. The Increasing Protection Death Benefit is the sum of the Coverage Amount and the Accumulation Value. The Level Protection Death Benefit is the greater of the Coverage Amount and the Accumulation Value. If your Death Benefit Option is Level Protection, any requested withdrawal or Policy option that reduces your Policy s Accumulation Value will be subject to the terms of provision H 4. RBCULBONUSENG 05.2013 Page 16
C Your Life Insurance Coverage C 5 C 4.1 4. 5. d) e) Changing your Death Benefit Option You may change your Death Benefit Option once, at any time after the second (2 nd ) Policy Year, subject to our administrative rules and the following conditions: The change will take effect on the Monthly Processing Day following the date we have approved your written request. If the change will result in a reduction of your Coverage Amount, the remaining Coverage Amount must not be less than the minimum Coverage Amount specified in our administrative rules. If the change is processed during the Surrender Charge period, the Accumulation Value will be reduced by a partial Surrender Charge proportionate to the decrease in Coverage Amount, as described in provision H 6. After the Coverage Amount is reduced and the partial Surrender Charge is collected, the Minimum Premium and applicable Surrender Charges will be reduced accordingly. If it will result in an increase to your Insurance Amount, the change will increase the Minimum Premium and Surrender Charges. This change must be approved by us and is subject to medical evidence of insurability satisfactory to us. We reserve the right to request payment of a fee we set from time to time for underwriting expenses. We will advise you of the amount of this fee before we process your request. The change will be monitored to ensure that the tax-exempt status of the Policy is maintained, as described in provision I We may also withdraw money from your Collateral Interest Account and apply that amount as a loan repayment without prior notice, as described in provision H 5. A change to Level Protection is available only in combination with the Annually Increasing Cost of Insurance Option. When we will pay the Death Benefit Upon the death of the Designated Life Insured, we will pay the Death Benefit to the Beneficiary subject to the terms and provisions of this Policy. We will calculate the amount of the Death Benefit as of the date we determine it is payable, in accordance with our administrative rules and the Death Benefit Option in effect on that date. We will pay the Death Benefit only after we receive any information we might reasonably request to evaluate the claim and evidence we consider sufficient to establish: That the Designated Life Insured died while this Policy was in force; The cause and circumstances of the death; The age of the Designated Life Insured; The smoking habit of the Designated Life Insured on the Coverage Date; and The right of the claimant to be paid. We will apply similar terms and conditions to any Death Benefit that may be payable on the life of someone other than the Designated Life Insured, under the terms of provisions D 2 or D 3, or under the terms of any Rider attached to this Policy. C 6 How we allocate the Death Benefit in cases of simultaneous death If two or more Lives Insured die at the same time, or under circumstances that make it uncertain who died first, we will deem a younger Life Insured to have survived an older Life Insured unless you instruct us otherwise in your Beneficiary designation. Accordingly, if your Coverage Option is Joint First-to-die, the oldest Life Insured will be deemed the Designated Life Insured. We will also pay to the Beneficiary an additional Death Benefit as described in provision D If your Coverage Option is Joint Last-to-die, the youngest Life Insured will be deemed the Designated Life Insured. The payment of the Death Benefit will take precedence over the payment of the Early Death Benefit described in provision D RBCULBONUSENG 05.2013 Page 17
C C 7 Your Life Insurance Coverage When we will adjust the Death Benefit If any Monthly Deduction or indebtedness is outstanding at the time of death, we will deduct it from the Death Benefit. If the date of birth or sex of any Life Insured has been stated incorrectly, we reserve the right to increase or decrease any Death Benefit payable to the amount that would have been provided by the Premium paid using the correct age or sex. We will calculate the correct amount payable at any time after the misstatement of age or sex is discovered. C 8 When we will not pay a Death Benefit We will not pay a Death Benefit if the Policy is declared void due to a material omission, misrepresentation or fraud, as described in provision B 9. If any Life Insured commits suicide, while sane or insane, within two (2) years of any Coverage Date or any reinstatement date, we will not pay the Death Benefit or any Rider benefit for that Coverage. We will refund to you or your estate the Cost of Insurance paid for the Coverage from the later of the Coverage Date or the date of the last reinstatement, without interest, as well as the Net Accumulation Value as of the day we are notified of the Life Insured s death. Coverage for any surviving Life Insured will then terminate as of the day the Life Insured died. RBCULBONUSENG 05.2013 Page 18
D Benefits and Privileges for Joint Coverage Options D 1 The Survivor Privilege under a Joint First-to-die Coverage Option If your Coverage Option is Joint First-to-die, as specified in the Policy Schedule, the surviving Life Insured may apply for a new Single Life Policy without evidence of insurability upon the death of the Designated Life Insured, subject to the following conditions: This privilege must be exercised prior to the Policy Anniversary nearest the surviving Life Insured s seventieth (70 th ) birthday. You must submit a written request to exercise this privilege to us within sixty (60) days of the death of the Designated Life Insured, together with the payment of the first Premium for the new Policy. D 1 4. 5. 6. 7. d) e) The new Policy issued under the Survivor Privilege Any new Policy will be issued under the same insurance plan as this Policy, if available, or under an insurance plan we determine to be most similar to this one. It will be subject to the following conditions: Policy Years under the new Policy will be calculated from the Policy Date of the new Policy. The conditions and provisions of the new Policy will apply from the Coverage Date of the new Policy, including the two (2) year exclusion for suicide. Any evidence of insurability as well as any exclusion that form a part of this Policy on or before the date of conversion will become part of the new Policy. The initial Coverage Amount under the new Policy cannot exceed the Insurance Amount under this Policy at the time this privilege was exercised, excluding any Riders, and is subject to the minimum amount we allow for the new plan of insurance. Any Riders included in this Policy may be included in the new Policy if we offer them on the new plan. You may also apply to include in the new Policy any Riders not included in this Policy, subject to evidence of insurability and our approval. The Minimum Premium for the new Policy will include any Policy Fee applicable under the new plan of insurance. We will determine the Cost of Insurance applicable to the new Policy based on: The initial Coverage Amount; The Life Insured's Attained Age at the time this benefit is exercised; The Cost of Insurance rates then in effect for the new insurance plan; The Life Insured s applicable Class used in calculating the Cost of Insurance for the new Policy; and The Life Insured s Risk Classification used in calculating the Cost of Insurance for this Policy. A Life Insured s applicable Class will be the Standard Class that corresponds to the Life Insured s smoking habit if: The new plan does not offer Preferred Classes; or The Life Insured s applicable Class under this Policy is Standard; or This privilege is exercised after the tenth (10 th ) Policy Anniversary. If the new plan offers Preferred Classes and this Survivor Privilege is exercised before the tenth (10 th ) Policy Anniversary, the Life Insured s Cost of Insurance under the new Policy will be based on the Class for which the underwriting criteria are most similar to the Class applicable under this Policy, as determined by us. RBCULBONUSENG 05.2013 Page 19
D Benefits and Privileges for Joint Coverage Options D 2 The Supplementary Death Benefit for a surviving Life Insured If the surviving Life Insured under a Joint First-to-die Coverage Option dies within sixty (60) days of the death of the Designated Life Insured, we will pay to the Beneficiary a Supplementary Death Benefit subject to the following conditions: The Supplementary Death Benefit will be equal to the Insurance Amount under this Policy on the day the Designated Life Insured died, excluding any Riders. This provisional coverage is in effect for sixty (60) days from the day the Designated Life Insured died, or until a new Policy is issued under the Survivor Privilege if sooner. It is subject to the terms and conditions of this Policy, including provision C 8. D 3 The Early Death Benefit under a Joint Last-to-die Coverage Option If your Coverage Option is Joint Last-to-die and this benefit is included in your Policy as specified in the Policy Schedule, you may elect a Beneficiary to receive an Early Death Benefit on the death of the first Life Insured to die, subject to the following conditions: 4. 5. 6. D 1 You must elect the Early Death Benefit, and a Beneficiary to receive this benefit, at the time of your application for insurance or at any time prior to the death of the first Life Insured to die under this Policy. Your election of this benefit is specified in the Policy Schedule. You may change your election of this benefit at any time prior to the death of the first Life Insured to die by written request. The written consent of any irrevocable Beneficiary will be required. Once it is recorded at our office, the change will be effective as of the date you signed the request. Your change request is not effective until we have recorded it at our office. You may change the Beneficiary for this benefit at any time prior to the death of the first Life Insured to die, subject to the terms of provision B We will reduce your Policy s Accumulation Value by the amount of any Early Death Benefit we pay to you, using the order of withdrawal described in provision H If your Death Benefit Option is Level Protection, the payment and the amount of the Early Death Benefit will be subject to the terms and conditions set out in provision H 4, except that the amount of the benefit will not be reduced by a Surrender Charge. We must receive your written notice of claim for the Early Death Benefit and all the evidence we require under the terms of provision C 5, within one (1) year following the date of death of the Life Insured. This benefit is subject to the terms of provision C 8. The beneficiary may decline the payment of the Early Death Benefit after the death of the Life Insured, prior to the payment of the benefit and within thirty (30) days of the date we have been advised of the death of the first Life Insured to die. How we calculate the Early Death Benefit amount When it is payable, the amount of the Early Death Benefit is calculated as the lesser of (A B) and (A C), where: A B C is the Net Accumulation Value on the day we process your request for the Early Death Benefit is an allocation percentage chosen by you and specified in the Policy Schedule is the sum of three (3) Monthly Deductions The amount of this benefit will not be reduced by any Surrender Charge or Market Value Adjustment. RBCULBONUSENG 05.2013 Page 20
D Benefits and Privileges for Joint Coverage Options D 4 D 5 Changing your Joint Coverage Option If your Coverage Option is Joint First-to-die, as specified in the Policy Schedule, you may change your Coverage Option to Joint Last-to-die, subject to our administrative rules and the following conditions: 4. Exchanging your Joint Coverage Policy for Single Life Policies If your Coverage Option is Joint First-to-die or Joint Last-to-die, as specified in the Policy Schedule, you may exchange this Policy for one or more Single Life Policies with evidence of a compelling reason to do so that is satisfactory to us. This exchange is subject to our approval, our administrative rules and the following conditions: 4. You may exercise this privilege once, on or after the fifth (5 th ) Policy Anniversary and prior to the Policy Anniversary nearest the oldest Life Insured s seventieth (70 th ) birthday. The change will take effect on the Coverage Date of the new Joint Last-to-die Coverage, on the Monthly Processing Day following the date we have approved your written request. We will adjust your Minimum Premium and your Monthly Deduction effective on that day. We will determine the Cost of Insurance applicable to the new Joint Last-to-die Coverage using the Joint Insurance Age calculation method in effect on the date of the change, based on the age, Class and Risk Classification applicable to each Life Insured under this Policy at the latest of: The Coverage Date of the Joint First-to-die Coverage; The date your Cost of Insurance Option was last changed, as described in provision F 6; and The effective date of any Substitution of Life, as described in provision B 4. However, each Life Insured s applicable Class will be the Standard Class that corresponds to the Life Insured s smoking habit if this benefit is exercised after the first ten (10) years of this Policy. The change will be monitored to ensure that the tax-exempt status of the Policy is maintained, as described in provision I You must exercise this privilege prior to the Policy Anniversary nearest the oldest Life Insured s seventieth (70 th ) birthday. If your Coverage Option is Joint First-to-die, you may exchange this Policy for Single Life Policies without evidence of insurability. If your Coverage Option is Joint Last-to-die, you may exchange this Policy for Single Life Policies subject to evidence of insurability that is satisfactory to us. We reserve the right to request payment of a fee we set from time to time for underwriting expenses. We will advise you of the amount of this fee before we process your request. The exchange will take effect on the Monthly Processing Day following the date we have approved your written request, and any life insurance or Rider Coverage under this Policy will simultaneously terminate. This Policy s Accumulation Value will be allocated to each new Single Life Policy in accordance with our administrative rules, and will not incur Surrender Charges as a result of the exchange. We will inform you of any amount you are required to include in your income for tax purposes. D 5.1 The new Single Life Policies issued under this exchange privilege Any new Single Life Policy will be issued under the same insurance plan as this Policy, if available, or under an insurance plan we determine to be most similar to this one. It will be subject to the following conditions: Policy Years under the new Policy will be calculated from the Policy Date of the new Policy. The conditions and provisions of the new Policy will apply from its Coverage Date, on the Monthly Processing Day following the date we have approved your written request, except that our right to contest the validity of the Policy and the two (2) year exclusion for suicide, as described in provisions B 9 and C 8 respectively, will continue to apply from the later of the original Coverage Date or the last date of reinstatement of this Policy. Our right to contest the validity of the new Policy based on any new evidence of insurability submitted with this exchange request will apply from the Coverage Date of the new policy. Any evidence of insurability as well as any exclusion that forms a part of this Policy on or before the date of exchange will become part of the new Policy. RBCULBONUSENG 05.2013 Page 21